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25 Cards in this Set
- Front
- Back
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Def
Nursing Practice in Action Used to meet the client's health care needs |
The Nursing Process
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Nursing process is NOT individualized .
T/F |
False
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Step of the Nursing Process:
*collecting, organizing, validating and recording data about the clients health |
Assessment
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Three types of Data
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Objective
Subjective Historical |
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Two sources of data:
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Primary
Secondary |
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The patients family, other HCP and the record would all be examples of what type of data collection?
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Secondary data collection
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The patient would be an example of what type of data collection
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Primary data collection
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using senses, examine what you hear, feel, see, and smell
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Objective
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pt tells symptoms, how patient feels.
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Subjective
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A cue is info obtained by senses. T/F
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True
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Nurses judgement and interpretation of cues
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inference
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*Analyzing and synthesizing data
* Clustering data to categorize behaviors which reveals the problem * Problem is revealed |
Nursing Diagnosis
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A clinical judgement about an individual, family or community responses to actual and potential health problems for which the nurse is accountable
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Nursing Diagnosis
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NANDA
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North
American Nursing Diagnostics Association |
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Prioritize nursing diagnoses
a goal is written for each problem expected outcome for each defining characteristic Write nursing interventions |
Planning
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broad statement reflecting the resolution of a problem
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Goal
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specific, measureable statements that reflect ressolution of defining characteristics
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Expected Outcomes
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*Nursing actions required to prevent, reduce, or eliminate the problem or diagnostic label
*Specific * Assess, Assist and Teach |
Nursing Intervention
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Three types of nursing interventions
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Physician Initiated
Nurse Initiated Collaborative |
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Intervention that was requested and wrote by the Doctor
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Physician Initiated
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Intervention requested and written by the Nurse
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Nurse Initiated intervention
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Intervention initiated by several members of the Health Care Team
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Collaborative Intervention
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Carrying out the planned interventions
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Implementing
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Reviewing the goal and expected outcomes to determine the degree for which they have been achieved
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Evaluating
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6 Characteristics of the Nursing Process
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* Purposeful
* Interrelated * Systematic * Continuous * Outcome Oriented * Universally Applied |
